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� PERMIT <br /> *C,'�lTY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po2�ia <br /> Crystal Bay, Minnesota 55323 Permit Type: F�Xtures <br /> (612) 249-4600 Date Issued: ��20�200 <br /> SITE ADDRESS: 4132 Highwood Rd <br /> MOLTND,MN 55364 <br /> P��: 07-117-23-44-0031 <br /> DESCRIPTION: <br /> .,_ <br /> P]'O}�OSeCI USe: nc�iuciiiiat <br /> Permit Class: Plumbing <br /> Permit Sub-type(s): Water Heater <br /> Permit Type: Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: � 400.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 37.00 <br /> APPLICANT: Norblom Plumbing Co OWNER: SCOTT G&CATHERINE ANDERSON <br /> 2905 Garfield Ave South 4132 HIGHWOOD RD <br /> Minneapolis,MN 55408 MOUND MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> „ ' <br /> •r.. ") �) ,. , <br /> / �.-"� '�i-•�—... . �'�. � � l,.'—Y�'�-C:�../1� ��yi",'. <br /> AP LICANT PERMITEE IGNATURE ; UED BY SIGNATURG <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />